Shweta Gautam Daftary, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17275 Issued in TX

Practice address

6009 Belt Line Rd Ste 100
Dallas, TX 75254-7890

Phone

(972) 239-1998

Fax

(972) 239-8899

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 20, 2016 through Oct 20, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1942219480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18020 CREEK VISTA CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525622",
            "telephone_number": "972-818-8600",
            "fax_number": "214-853-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 BELT LINE RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547890",
            "telephone_number": "972-239-1998",
            "fax_number": "972-239-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAFTARY",
        "first_name": "SHWETA",
        "middle_name": "GAUTAM",
        "name_prefix": "Mrs.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Yudi Dae
• Sarah Daemi, RN, AGACNP
• Victor Daescu
• Laleh Daftaribesheli, M.D.
• Riddhi Daftary
• Amit Dagan-Habaza, MD
• Rebecca Eudell Dagg, CRNA
• Nicholas Andrew Daggett, DPT
• Urja S Dagha
• Alaa Abdalla Daghlas, PA-C

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.